Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.99 / $4,134.00 / $8,084.00	Facility		$62.99	$4,134.00	$8,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $78.90 / $334.00	Professional		$62.99	$78.90	$334.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $92.18 / $92.18	Professional		$92.18	$92.18	$92.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $113.39 / $228.96	Professional		$97.90	$113.39	$228.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $94.39 / $180.51	Professional		$48.90	$94.39	$180.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $130.00 / $148.68	Professional		$95.90	$130.00	$148.68
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.74 / $857.38 / $1,047.55	Facility		$442.74	$857.38	$1,047.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $95.57 / $137.26	Professional		$69.84	$95.57	$137.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $87.68 / $170.42	Professional		$49.31	$87.68	$170.42